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HomeMy WebLinkAbout46173-Z OoTrx�-2�. guFfOt,�cpG Town of Southold 8/4/2022 4 P.O.Box 1179 C* • 53095 Main Rd ti y o� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43312 Date: 8/4/2022 THIS CERTIFIES that the building GENERATOR Location of Property: 2710 The Long Way,East Marion SCTM#: 473889 Sec/Block/Lot: 30.-2-118 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/12/2021 pursuant to which Building Permit No. 46173 dated 4/30/2021 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: accessory generator as applied for. The certificate is issued to Kipperman, Susan&Eric of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46173 7/19/2022 PLUMBERS CERTIFICATION DATED ut iz Signature o�sue¢oc,r�o TOWN OF SOUTHOLD ay BUILDING DEPARTMENT y x TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT-ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 46173 Date: 4/30/2021 Permission is hereby granted to: Kipperman, Susan 2710 The Long Way East Marion, NY 11939 To: Install generator at existing single family dwelling as applied for. At premises located at: 2710 The Long Way, East Marion SCTM #473889 Sec/Block/Lot# 30.-2-118 Pursuant to application dated 4/12/2021 and approved by the Building Inspector. To expire on 10/30/2022. Fees: CO-ALTERATION TO DWELLING $50.00 ELECTRIC $85.00 SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $100.00 Total: $235.00 Building Inspector oF sovr�olo Town Nall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 aQ sean.devlint'-town.southold.ny.us Southold,NY 11971-0959 QIyCOUF�'�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To: Susan Kipperman Address: 2710 The Long Way city:East Marion st: NY zip: 11939 Building Permit#: 46173 Section: 30 Block: 2 Lot: 118 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: AS BUILT License No: SITE DETAILS Office Use Only Residential X Indoor X Basement Service Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey X Attic Generator X INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches 4'LED Exit Fixtures Pump Other Equipment: 24kW Kohler Generator w/200A Transfer Switch Notes: Generator Inspector Signature: P Date: July 19, 2022 S.Devlin-Cert Electrical Compliance Form OF S0//l17-3 S-7 11T c * f TOWN OF SOUTHOLD BUILDING DEPT. �y�OUMV,� 765-1802 INSPECTION "[ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ' ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] -FIRE RESISTANT PENETRATION [ ] ELECTRICAL(ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR c- laf so TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 � . . INSPECTION FOUNDATION 1ST ROUGH PL13G. . FOUNDATION 2ND �7SAULATIOWCAULKING­ FRAMING/STRAPPING FIN L a4vj4vwftV -FIREPLACE &'CHIMNEY FIRE SAFETY INSPECTION FIRE'RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION PRE C/O REMARKS: Ot PiNat &t/ln4 t6c n� did 4-o (-x, DATE INSPECTOR L/ SO(/Th�� . TOWN OF SOUTHOLD BUILDING DEPT. `ycouxr+��' 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL - [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]' RENTAL REM RKS: DATE I t Lv INSPECTOR OE SOUTyo - h �D TOWN OF SOUTHOLD BUILDING DEPT cou 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: Gly DATE INSPECTOR j, `fie e -5-G/ COMMENTS FIELD:INSPECTION REPORT DATE FOUNDATION(IST) rA FOUNDATION'(2ND} d ROUGH FRAMING: PLUMBING: pts INSULATION.PER N.Y. H_ STATE'ENERG k CODE ZI ti FINAL. 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Aut Agent wner } Signature of Applicant: 6 Dat e: STATE OF NEW'YORK) SS'. COUNTY OF being duly sworn,deposes and says that(s)he-is the applicant (Name of individual signing contract) above named, (S)he is the, (Contracto Agent, orporate Officer,etc.) of said owner or owners,and is duly aut'horized'to pe orm or have performed thetsaid work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and belief;and that the work will be performed in the manner set forth in the application file therewith. Sworn.before me this day of - -=•Z0 Notary Public TRAC L. DWYER NOTARY PUBLIC,STATE OF NEW YO NO.01 DW6306900 PROPERTY®UUNER.AUTHORIZATIO(el QUALIFIED IN SUFFOLK COUNTY (Where the applicant is not the owner) COMMISSION EXPIRES JUNE 30,2_6 .0 �• 1 L .�i residing at Ci S r 1DiJN do hereby authorise PoLivrJm 4'L&L to apply on my behai the Tow of Southold Building.Department for approval as described hp Owner's Signature Date L Print Owners Name 2 BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD o. Town Hall Annex- 54375 Main Road - PO Box 1179 -f Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 r err ea southbldtc v�rriny gov s.eati c;r outholdt6wir y:ciQu: APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date;: Company Name: ��G��7fCi Name: License No.: �.(��� !� email:: Phone No:,g g�8'5�� �a Efrequest an email copy of Certificate of Compliance Address.: .. 00 e'ewl- -t_ JOE SITE INFORMATION (AII.Inforr..ationRequired) Name:° C/ZI rC h I ✓}'jC(4 Address;; - 77 1,6L Cross Street;: Phone No.: Bldg.Permit#: 3 email- Tax Sectiori'P. Block: ' Tax, Map District: - _ _. _ _ .. . _ � .. Lo t* BRIEF,,:..,..,:. _ DESCRIPTION OF WORK (Please Print Clearly) l�/ � G� ill Check All That Apply: Is job ready for inspection?: nYES �NO Rough In ❑Final Do you need a Temp Certificate? YES f�<O Issued On Temp Information: (All information required) Service Size F1 Ph 03 Ph Size::: A #Meters Old Meter# ❑New Service 0 Service Reconnect F_� Underground Overhead #Underground Laterals :Elf 02 ETH Frame[Pole Work done on Service? F]Y .E-1N Additional Informatiori - - PA NIENT DUE WITH APPLICATION Electrical Inspection Form 2020.xisx ism � tJ BUILDING"DEPARTMENT= Electrical Inspector. TOWN-OF SOUTHOLD � Towri.Hall-Annex,-:54375'Main Road - PO Box 1.179 Southold:.'New Yor..Ie 1:1:97:1;0959 { .. 4` Telephone:(63`1)765-1802 - FAX (631.) 765=9502 tA" bj8townn.' csry sean:d' scruthidldteiv4rrin, ovi � . Aq.. APPLLCATIC3.N FbR ELECTRICAL 1N°SPECT;ION ELECTRICIAN NF:ORMATI0N-(Afj'- f6r ik[6 Required}- Date Company Name.: •'��'1i��7fCi Name: � License Nos. �� � !n!f remail: /lD, GD/j'( 3 Phone 'No:. g��f� request'�an ema -copy o 8� lQa ._ _I._. ifcate of,Compliance; _. f"Cert Address:° J+ B: ITE,:INFiRMATI.C1N (aU:'lnfor" atiorti:Required)'; Cry r "Name. Address;; - _..._ ,ross`,Str:eet _._.. _ ..,_._. Phone No. [3,Idg�,Permit# . m3 email:=.........._..... ..- .--._...... . .. u._. -.. . Tax Map District:__:. .1:QOQ_.._.._. ,::Section'. Block:' .,_ _........,.. °Lot.; BRIEF DESCRIPTI��N;0F�W"ORK"Please Print:ClearI ( Y) �Tll�li4�'rG ;Check All That Apply:; 1s;job ready,for inspection- YES: NQ ORo.ugh`In ❑Fina! F Do you.need aTemp Ceriif'icate' Y€Sz :- ` :O Is�ueuM�ri Temp Inf6rmation: ;(AIL-,information required) Service Size-01 Ph. F-]3 Ph ',Size,,,,,, A: #Meters :OId.Meter# New Service Service Reconnect Elllndergrounc! Oveihead # Underground Lateral's 'Ell. ; ]2 � 'Fra`rne [Pole -Work done-on Service?" _. . . .. Additional Information; 0 PA. NIENT'Dl1E WITH APPLICATION- Electrical Inspection Form 2020.xlsx is 3-141 —# J-) � � � A- oa DISTRICT; 1000 SECTION:30 BLOCK:2 LOTCS):118 LOT 56 N 7605940FE FC 270.04'7/ ZAN FT tom, MON. �4 N 6' STOCKADE F N FE 0.4s rszn lc� 7.0'S 2:00 J5. Do rn P�W;,EF a ICK BRICK PATIO LP. 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W� x A % OP 'o-WUM X, ............. . .......... ...........................C>F } 7C., APPROVED AS NOTED DATE: B.P.#. 3 FEE: k�5-/y BY: OCCUPANCY NOTIFY BUILDING DEPARTMENT AT OR 765-1802 8 AM TO 4 PM FOR THE USE IS UNLAWFUL '01-LOWING INSPECTIONS: WITHOUT FOUNDATION - TWO REQUIRED CERTIFICATE FOR POURED CONCRETE OF OCCUPANCY ROUGH - FRAMING & PLUMBING .3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. ` . "•J'-�-7ION REQt1IRED COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED9DEC NDITIONS OF WN ZSA WN PLANNING BOARD WN TRUSTEES 12:47 PM Fri Apr 30 Done Inv 10408 firom_Fred_Barsch_Inc. 18644.pdf 1 Kohler Model 20 RCA Propane/Natural Gas Generator Set with the following items: 20 kw Propane/Natural Gas, 3600 RPM, air cooled generator Aluminum Enclosure - 18 inch clearance RDC2 Controller, Remote Start Critical exhaust silencer Battery Main Line circuit breaker 1 20 RESC Carb Heater '(Included NO CHARGE ) 1 Gen Pad - 14/20 RESA opo 1 Kohler RXT-JFNC-0200ASE Automatic.Transfer Switch Service Entrance 200 amps, 2 pole, 3 wire, 120/240 volts a NEMA 3R Enclosure ' 1 Status Indicator Module (RXT ONLY) Load Shed 1 OnCue Home Generator Management Kit (RDC2 Controller) Programming Fee' Delivery, Battery, Start-up Service and Warranty Activation Included AY ka'.